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NPI Code Detail

MEDICARE: HEBREW HOME FOR THE AGED AT RIVERDALE

MEDICARE: HEBREW HOME FOR THE AGED AT RIVERDALE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170100000XPh.D. Medical Genetics7000302NNY

General Provider Information

NPI Number : 1972782449
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEBREW HOME FOR THE AGED AT RIVERDALE
Provider Business Mailing Address
First Line : 5901 PALISADE AVE
Second Line :
City : BRONX
State : NY
Zip : 10471-1205
Country : US
Telephone Number : 718-581-1310
Fax Number : 718-796-7534
Provider Business Practice Location Address
First Line : 5901 PALISADE AVE
Second Line :
City : BRONX
State : NY
Zip : 10471-1205
Country : US
Telephone Number : 718-581-1310
Fax Number : 718-796-7534
Authorized Official
Title or Position : VICE PRESIDENT, FINANCE
Name : CARL WILLNER
Credential :
Telephone Number : 718-581-1313
Provider Enumeration Date : 10/31/2007
Last Update Date : 09/17/2015

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Directions to “HEBREW HOME FOR THE AGED AT RIVERDALE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.